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Ensures the provision of quality patient care in the appropriate setting through care coordination case management utilization management of inpatient admissions and transitions of care to different levels of care. Collaborates with the attending practitioner the family and other members of the health care team coordinates individualized plans of care and communicates the plan to appropriate stakeholders. Ensures high quality care is provided as efficiently and cost effectively as possible. Facilitates continuity of care by coordinating transition to postdischarge care. Practices professional nursing and promotes patient advocacy in accordance with the ANA Code of Ethics for Nurses. Maintains a current Ohio Nursing License.
Essential Functions:
- The Care Coordinator Nurse performs case management core functions which include:
Screening and identification of patients
Assessment of patient/family strengths and needs
Development of a familycentered plan of care
Facilitate communication and collaboration amongst the health care team
Develop patients selfmanagement skills through education and resource provision
Manage transitions between settings caregivers and providers
Provide monitoring and followup across the continuum of care
Maintains knowledge of current concepts research needs and research strategies related to care coordination including case management utilization review and discharge planning.
Assists in educating others regarding the role of care coordination/ case management
Participates in ongoing education related to information technology requirements for the department
Education Requirement:
BSN required.
Licensure Requirement:
- Current licensure as a registered nurse in the state of Ohio is required.
- Valid Ohio drivers license and proof of auto insurance as required by hospital policy. Must pass motor vehicle background inspection insurance eligibility driving qualifications and training set forth by Nationwide Childrens Hospital and maintain qualification of insurance guidelines.
Certifications:
Pediatric certification AdvancedContinuity of Care Certification (ACCC) or other Case Management certification desirable.
Skills:
- Ability to communicate with health care professionals by demonstrating diplomacy tact and a professional demeanor.
- Working knowledge of CMS and other review agency standards.
- Demonstrated ability to effectively collaborate and delegate tasks.
- Ability to relate to diverse age and demographic backgrounds.
- Computer literate. Working knowledge of MS Office.
- Professionally appropriate analytical and organizational skills required.
Experience:
- Two years of nursing experience required.
- At least one year in pediatric nursing is highly preferred.
- Nursing experience may include inpatient nursing case management utilization review discharge planning community health nursing.
- Utilization review and/or discharge planning experience desirable.
Physical Requirements:
OCCASIONALLY: Biohazard waste Blood and/or Bodily Fluids Communicable Diseases and/or Pathogens Fume /Gases /Vapors Lifting / Carrying: 1120 lbs Pushing / Pulling: 025 lbs Reaching above shoulder
FREQUENTLY: Bend/twist Climb stairs/ladder Color vision Depth perception Driving motor vehicles (work required) *additional testing may be required Lifting / Carrying: 010 lbs Peripheral vision Seeing Far/near Squat/kneel Standing Walking
CONTINUOUSLY: Audible speech Decision Making Hearing acuity Interpreting Data Problem solving Repetitive hand/arm use Sitting
Additional Physical Requirements performed but not listed above:
(not specified)
The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this classification. It is not to be construed as an exhaustive list of duties performed by the individuals so classified nor is it intended to limit or modify the right of any supervisor to assign direct and control the work of employees under their supervision. EOE M/F/Disability/Vet
Required Experience:
IC